| NAME |
ESTRADIOL 4MCG INSERT,VAG |
| VA GENERIC NAME |
ESTRADIOL |
| DOSAGE FORM |
INSERT,VAG |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
4 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MCG |
| NATIONAL FORMULARY NAME |
ESTRADIOL INSERT,VAG |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2018-07-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ESTRADIOL 4MCG VAG INSERT |
| VA PRODUCT IDENTIFIER |
E0750 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037638 |
| EFFECTIVE DATE/TIME |
-
- 2018-06-28 00:00:00
- STATUS: ACTIVE
|
